0001493152-21-022754.txt : 20210914 0001493152-21-022754.hdr.sgml : 20210914 20210914212900 ACCESSION NUMBER: 0001493152-21-022754 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210914 FILED AS OF DATE: 20210914 DATE AS OF CHANGE: 20210914 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lev Mark Toby CENTRAL INDEX KEY: 0001878023 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40809 FILM NUMBER: 211253993 MAIL ADDRESS: STREET 1: 70 WILLISTON RD CITY: BROOKLINE STATE: MA ZIP: 02445 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: EzFill Holdings Inc CENTRAL INDEX KEY: 0001817004 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-AUTO DEALERS & GASOLINE STATIONS [5500] IRS NUMBER: 834260623 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2125 BISCAYNE BLVD STREET 2: #309 CITY: MIAMI STATE: FL ZIP: 33137 BUSINESS PHONE: 305-791-1169 MAIL ADDRESS: STREET 1: 2125 BISCAYNE BLVD STREET 2: #309 CITY: MIAMI STATE: FL ZIP: 33137 3 1 ownership.xml X0206 3 2021-09-14 0 0001817004 EzFill Holdings Inc EZFL 0001878023 Lev Mark Toby C/O EZFILL HOLDINGS, INC. 2125 BISCAYNE BLVD, #309 MIAMI FL 33137 1 0 0 0 Common Stock 13286 D /s/ Mark Lev 2021-09-14